Model Veterinary Health Certificate for the Import of Pet Birds to the United States from countries APHIS considers 

affected with Highly Pathogenic Avian Influenza (HPAI)

Veterinary Authority Date Of Issue Health Certificate Number 

CERTIFICATION 

Section A: Completed by the issuing or Authorized Veterinarian

1. Consignor/Shipper/Owner:

Name:

Address:

Country

2. Consignee/Broker/Owner:

Name:

Address:

Country

3. Country of Export 4. Port of Embarkation (city and port)

5. Country Of Destination:

USA 

6. Destination state:

7. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 8 Date of Shipment: 

9. Description of Commodity 

Pet Birds

10. Means Of Transport:

11. Commodities Intended Use:

Pet

12. XXXXXXXXXXXXXXXXXXXXXXXXX

13: Total Number Of Shipping Containers: 14. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

15. Identification Of Birds:

Row Identification/ Name Species/Breed Physical Description Age 

Months/Years 

Weight 

(gms) 

Sex 

1

2 

3 

4 

5 

Note: Shipments of birds which are 5 or less are considered as “pet bird shipments.” Shipments of birds with 6 

or more are considered commercial shipments and are not allowed to import from HPAI- affected countries. 

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Model Veterinary Health Certificate for the Import of Pet Birds to the United States from countries APHIS considers 

affected with Highly Pathogenic Avian Influenza 

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 

Date Of Issue Certificate Number 

Section B: The issuing /official veterinarian certifies for export that all pet birds covered by this certificate have been inspected within 30 

days of the issuance date of this document and attests to the following statements: 

1. The bird(s) is/are being exported in accordance with the laws of the exporting country.

2. There was no evidence of communicable diseases of poultry upon examination of the

bird(s).

3. The bird(s) was/were not vaccinated against any H5 or H7 subtype of avian influenza.

4. CHOOSE EITHER OPTION (a) OR (b) BELOW (strike out which one does not apply):

(a) The bird(s) was/were not vaccinated against Newcastle disease

 OR 

(b) The bird(s) has/have been vaccinated against Newcastle disease (avian paramyxovirus)

at least 21 days prior to export, using vaccines that do not contain any velogenic strains

of Newcastle disease virus.

6. The bird has not been exposed to other birds during the pre-export isolation period.

7. The bird was moved directly from the pre-export isolation location to the port of

embarkation to the United States.

8. Birds and the 21 day isolation period:

• were held in isolation for 21 days prior to travel.

• were not exposed to other birds during the pre-export isolation period.

• were transferred directly from the isolation location to the port of embarkation

in a carrier will seals (with identifying marks or numbers) applied by the

government veterinarian.

9. The isolation period was supervised by an official government veterinarian or by an

authorized veterinarian in the exporting country who issued the export health certificate.

Seal Numbers here: ________________________________________ 

*********************Certificate shall be valid for 30 days from date of issue************************ 

If the issuing veterinarian is the same as the official veterinarian, only 1 signature and stamp is required.

Name of Issuing Veterinarian (Printed) Name of Official Veterinarian (Printed) 

Signature of Issuing Veterinarian Signature of Official Veterinarian 

Date Date 

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10. The birds were placed in new or appropriately sanitized packing materials at the

premise from which the export process began.